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Dandy Walker syndrome with giant occipital meningocele with craniovertebral anomalies: Challenges faced during anaesthesia
Ist Teil von
Indian journal of anaesthesia, 2016-01, Vol.60 (1), p.71-73
Ort / Verlag
India: Wolters Kluwer - Medknow Publications
Erscheinungsjahr
2016
Quelle
EZB Electronic Journals Library
Beschreibungen/Notizen
Magnetic resonance imaging (MRI) of the brain showed enlarged posterior fossa with multiple craniovertebral anomalies with meningocele in occipital and upper cervical region communicating with fourth ventricle, hypoplasia of inferior vermis coupled with hypoplasia of cerebellar hemisphere, suggestive of DWS with occipital meningocele. {Figure 1}{Figure 2} On arrival of the child in the operation theatre, monitoring was established with an electrocardiogram pulse oximeter non-invasive blood pressure (BP) and temperature probe. [6] In conclusion, patients with DWS with other associated anomalies can be successfully managed by a thorough evaluation of airway, emphasis on proper positioning during laryngoscopy, preparation for difficult intubation, avoidance of rise in ICP during anaesthesia and proper post-operative care.